HYPERTHYROIDISM Flashcards

Question 1

Q

What thyroid disorder can present with symptoms such as:

sweating
weight loss
heat intolerance
menstrual irregularity
tachycardia
tremor
stare (exophthalmos due to extraocular muscle edema)

Answer

A

Hyperthyroidism

Question 2

Q

What may present with:

goiter
ophthalmopathy
thyroid stimulating immunoglobulins (activate TSH receptor in thyroid gland)

Answer

A

Grave’s disease

Question 3

Q

In what is the thyroid acting autonomously, the thyroid gland is producing hormones independent of the normal feedback loop with the pituitary gland?

Answer

A

Primary hyperthyroidism

Question 4

Q

You may see an increase free thyroxine (T4) and Triiodothyronine (T3) and a low Thyroid-stimulating hormone (TSH) in what?

Answer

A

Hyperthyroidism

Question 5

Q

What is the most common cause of hyperthyroidism?

Answer

A

Graves’ disease

Question 6

Q

What may cause transient hyperthyroidism during the initial phase and may occur post partum? (will eventually be hypothyroid)

Answer

A

Hashimoto’s Thyroiditis

Question 7

Q

These can all be possible causes of what?

High serum HCG levels in first 4 months of pregnancy
molar pregnancy
choriocarcinoma
testicular malignancies

Answer

A

Thyrotoxicosis

Question 8

Q

These are some common clinical findings associated with what thyroid condition?

Fever
Tachycardia
Diaphoresis/sweating
tremors
Disorientation/psychosis
goiter
exophthalmos
hyperreflexia
pretibial myxedema

Answer

A

Hyperthyroidism

Question 9

Q

These are all commonly reported symptoms for what condition of the thyroid?

weight loss despite increased appetite
dysphagia or dyspnea secondary to goiter
rash/pruritus/hyperhidrosis
palpation/chest pain
diarrhea
myalgias and weakness
nervousness/anxiety
menstrual irregularities
heat intolerance
insomnia/fatigue

Answer

A

Hyperthyroidism

Question 10

Q

What are common findings for a patients thyroid with suspected hyperthyroidism?

Answer

A

goiter (often with a bruit) in Graves’ disease

2. moderately enlarged, tender thyroid in subacute thyroiditis

Question 11

Q

What occurs in about 20-40% of patients with Graves’ disease?

Answer

A

Ophthalmopathy (chemosis, conjunctivitis, and mild proptosis)

Question 12

Q

How may a patient’s skin appear with possible hyperthyroidism?

Answer

A

moist warm skin
fine hair
onycholysis
dermopathy (myxedema) in 3% of patients with graves’ disease

Question 13

Q

These are all heart conditions associated with what thyroid disorder?

palpitations or angina pectoris
arrhythmias
a. sinus tachycardia
b. premature atrial contractions
c. atrial fibrillation or atrial tachycardia
thyrotoxic cardiomyopathy due to thyrotoxicosis
heart failure (rare)

Answer

A

Hyperthyroidism

Question 14

Q

What disorder, rarely seen today, is an extreme form of thyrotoxicosis that may be triggered by stressful illness, thyroid surgery, Radioactive Iodine (RAI) administration; manifested by marked delerium, severe tachycardia, vomiting, diarrhea, dehydration, and in many cases, very high fever?

Answer

A

Thyroid storm

mortality rate it high

Question 15

Q

What are some lab findings associated with hyperthyroidism?

Answer

A

TSH will be low (normal negative feedback response to excess T4/T3)
T4 sometimes normal but T3 elevated

Question 16

Q

True or False

Administration of Radioactive Iodine (131 I) is an excellent method of destroying overactive thyroid tissue

Answer

Study These Flashcards

A

True

Treatment of choice for Active Duty Service Members

Question 17

Q

What medication is used in hyperthyroidism for the symptomatic relief of tachycardia, tremors, diaphoresis, and anxiety until the hyperthyroidism is resolved?